FX and Crypto Investment Form

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CLIENTS INFORMATION

Date:

Title:

Surname Name:

Other Names:

Phone Number:

Email Address:

State:

City:

Address:

Gender:

OTHER DETAILS

Marital Status:

Nationality:

Resident Status:

State of Origin:

Home Town:

Bank Account:

Bank Name:

EMPLOYEMENT DETAILS

Employment Status:

Specify Status if "Others":

Occupation:

Business Address:

INVESTMENT DETAILS

Ibharcan FX / Crypto Investment:
Quarterly InterestInterest at maturity

Regular Naira Investment:
Periodic InterestInterest at maturity

Cash Invested:

Return on Investment:

Mode of Payment:

INFORMATION OF NEXT OF KIN

First Name:

Middle Name:

Surname:

Mobile Number:

Email address:

Home Address:

Relationship:

Upload ID:

IBHARCAN INVESTMENT LTD. is a licensed finance company currently with a paid up capital of N100m (One Hundred Million Naira only). The ownership structure of the company comprises of distinguished individuals who are seasoned business men and have made impacting contributions in the Nigerian Financial Service sector with equity interest from 10 to 55%.

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